Displaying 140641-140650 of 1611142 results.
ID:
140641
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140642
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140643
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140644
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140645
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140646
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140647
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140648
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140649
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140650
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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